, TEST BANK FOR g g
Murray Foundations of Maternal-Newborn and Women's Health Nursing,
g g g g g g g
8thEdition
g g
Chapter 01: g
MULTIPLE CHOICE g
1. A nurse educator is teaching a group of nursing students about the history of
g g g g g g g g g g g g g
family-centered maternity care. Which statement should the nurse include in the g g g g g g g g g g
teachingsession?
g g
a. The Sheppard-Towner Act of 1921 promoted family-centered care.
g g g g g g g
b. Changes in pharmacologic management of labor prompted family-centered care.
g g g g g g g g
c. Demands by physicians for family involvement in childbirth increased the practice
g g g g g g g g g g
of family-centered care.
g g
d. Parental requests that infants be allowed to remain with them rather than in a
g g g g g g g g g g g g g
nursery initiated the practice of family-centered care.
g g g g g g
ANS: D g
As research began to identify the benefits of early, extended parent–infant contact,
g g g g g g g g g g g
parentsbegan to insist that the infant remain with them. This gradually developed into the
g g g g g g g g g g g g g g g
practiceof rooming-in and finally to family-centered maternity care. The Sheppard-
g g g g g g g g g g g
Towner Act provided funds for state-managed programs for mothers and children but did
g g g g g g g g g g g g
not promote family-centered care. The changes in pharmacologic management of labor
g g g g g g g g g g g
were not a factor in family-centered maternity care. Family-centered care was a request
g g g g g g g g g g g g g
by parents, not physicians.
g g g g
DIF: Cognitive Level: Application OBJ: Nursing Process Step: g g g g g
PlanningMSC: Patient Needs: Health Promotion and Maintenance
g g g g g g g g
2. Expectant parents ask a prenatal nurse educator, ―Which setting for childbirth limits the
g g g g g g g g g g g g
amount of parent–infant interaction?‖ Which answer should the nurse provide for these
g g g g g g g g g g g g
parents in order to assist them in choosing an appropriate birth setting?
g g g g g g g g g g g g
a. Birth center g
b. Home birth g
c. Traditional hospital birth g g
d. Labor, birth, and recovery room g g g g
ANS: C g
In the traditional hospital setting, the mother may see the infant for only short feeding
g g g g g g g g g g g g g g
gperiods, and the infant is cared for in a separate nursery. Birth centers are set up to
g g g g g g g g g g g g g g g g
gallowan increase in parent–infant contact. Home births allow the greatest amount of
g g g g g g g g g g g g
gparent–infant contact. The labor, birth, recovery, and postpartum room setting allows
g g g g g g g g g g
gforincreased parent–infant contact.
g g g
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: g g g g g
PlanningMSC: Patient Needs: Health Promotion and Maintenance
g g g g g g g g
,3. Which statement best describes the advantage of a labor, birth, recovery, and
g g g g g g g g g g g
gpostpartum(LDRP) room? g g
a. The family is in a familiar environment.
g g g g g g
b. They are less expensive than traditional hospital rooms.
g g g g g g g
c. The infant is removed to the nursery to allow the mother to rest.
g g g g g g g g g g g g
d. The woman‘s support system is encouraged to stay until discharge.
g g g g g g g g g
ANS: D g
Sleeping equipment is provided in a private room. A hospital setting is never a familiar
g g g g g g g g g g g g g g
environment to new parents. An LDRP room is not less expensive than a traditional
g g g g g g g g g g g g g g
hospital room. The baby remains with the mother at all times and is not removed to the
g g g g g g g g g g g g g g g g g
nursery for routine care or testing. The father or other designated members of the
g g g g g g g g g g g g g g
mother‘ssupport system are encouraged to stay at all times.
g g g g g g g g g g
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: g g g g g
AssessmentMSC: Patient Needs: Health Promotion and Maintenance
g g g g g g g g
4. Which nursing intervention is an independent function of the professional nurse?
g g g g g g g g g g
a. Administering oral analgesics g g
b. Requesting diagnostic studies g g
c. Teaching the patient perineal care g g g g
d. Providing wound care to a surgical incision g g g g g g
ANS: C g
Nurses are now responsible for various independent functions, including teaching,
g g g g g g g g g
counseling, and intervening in nonmedical problems. Interventions initiated by the
g g g g g g g g g g
physician and carried out by the nurse are called dependent functions. Administrating
g g g g g g g g g g g g
oralanalgesics is a dependent function; it is initiated by a physician and carried out by a
g g g g g g g g g g g g g g g g g
nurse.Requesting diagnostic studies is a dependent function. Providing wound care is a
g g g g g g g g g g g g g
dependent function; however, the physician prescribes the type of wound care through
g g g g g g g g g g g g
direct orders or protocol.
g g g g
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: g g g g g
AssessmentMSC: Patient Needs: Safe and Effective Care Environment
g g g g g g g g g
5. Which response by the nurse is the most therapeutic when the patient states, ―I‘m so afraid
g g g g g g g g g g g g g g g
gto have a cesarean birth‖?
g g g g
a. ―Everything will be OK.‖ g g g
b. ―Don‘t worry about it. It will be over soon.‖
g g g g g g g g
c. ―What concerns you most about a cesarean birth?‖
g g g g g g g
d. ―The physician will be in later and you can talk to him.‖
g g g g g g g g g g g
ANS: C g
The response, ―What concerns you most about a cesarean birth‖ focuses on what the
g g g g g g g g g g g g g
patient is saying and asks for clarification, which is the most therapeutic response. The
g g g g g g g g g g g g g g
response, ―Everything will be ok‖ is belittling the patient‘s feelings. The response, ―Don‘t
g g g g g g g g g g g g g
worry about it. It will be over soon‖ will indicate that the patient‘s feelings are not
g g g g g g g g g g g g g g g g
important. The response, ―The physician will be in later and you can talk to him‖ does not
g g g g g g g g g g g g g g g g g
allow the patient to verbalize her feelings when she wishes to do that.
g g g g g g g g g g g g g
DIF: Cognitive Level: Application g g OBJ: Nursing Process Step: Implementation
g g g g
, MSC: Patient Needs: Psychosocial Integrity
g g g g
6. In which step of the nursing process does the nurse determine the appropriate
g g g g g g g g g g g g
interventionsfor the identified nursing diagnosis?
g g g g g g
a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS: A g
The third step in the nursing process involves planning care for problems that were
g g g g g g g g g g g g g
identified during assessment. The evaluation phase is determining whether the goals have
g g g g g g g g g g g g
been met. During the assessment phase, data are collected. The intervention phase is
g g g g g g g g g g g g g
whenthe plan of care is carried out.
g g g g g g g g
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: g g g g g
PlanningMSC: Patient Needs: Safe and Effective Care Environment
g g g g g g g g g
7. Which goal is most appropriate for the collaborative problem of wound infection?
g g g g g g g g g g g
a. The patient will not exhibit further signs of infection.
g g g g g g g g
b. Maintain the patient‘s fluid intake at 1000 mL/8 hour. g g g g g g g g
c. The patient will have a temperature of 98.F within 2 days.
g g g g g g g g g g
d. Monitor the patient to detect therapeutic response to antibiotic therapy.
g g g g g g g g g
ANS: D g
In a collaborative problem, the goal should be nurse-oriented and reflect the nursing
g g g g g g g g g g g g
ginterventions of monitoring or observing. Monitoring for complications such as
g g g g g g g g g
gfurthersigns of infection is an independent nursing role. Intake and output is an
g g g g g g g g g g g g g
gindependent nursing role. Monitoring a patient‘s temperature is an independent
g g g g g g g g g
gnursing role. g
DIF: Cognitive Level: Application OBJ: Nursing Process Step: g g g g g
PlanningMSC: Patient Needs: Safe and Effective Care Environment
g g g g g g g g g
8. Which nursing intervention is written correctly?
g g g g g
a. Force fluids as necessary. g g g
b. Observe interaction with the infant. g g g g
c. Encourage turning, coughing, and deep breathing. g g g g g
d. Assist to ambulate for 10 minutes at 8 AM, 2 PM, and 6 PM.
g g g g g g g g g g g g g
ANS: D g
Interventions might not be carried out if they are not detailed and specific. ―Force fluids‖
g g g g g g g g g g g g g g
gis not specific; it does not state how much or how often. Encouraging the patient to turn,
g g g g g g g g g g g g g g g g
gcough, and breathe deeply is not detailed or specific. Observing interaction with the
g g g g g g g g g g g g
ginfantdoes not state how often this procedure should be done. Assisting the patient to
g g g g g g g g g g g g g g
gambulate for 10 minutes within a certain timeframe is specific.
g g g g g g g g g
DIF: Cognitive Level: Application OBJ: Nursing Process Step: g g g g g
PlanningMSC: Patient Needs: Safe and Effective Care Environment
g g g g g g g g g
9. The patient makes the statement: ―I‘m afraid to take the baby home tomorrow.‖ Which
g g g g g g g g g g g g g
response by the nurse would be the most therapeutic?
g g g g g g g g g
a. ―You‘re afraid to take the baby home?‖ g g g g g g
Murray Foundations of Maternal-Newborn and Women's Health Nursing,
g g g g g g g
8thEdition
g g
Chapter 01: g
MULTIPLE CHOICE g
1. A nurse educator is teaching a group of nursing students about the history of
g g g g g g g g g g g g g
family-centered maternity care. Which statement should the nurse include in the g g g g g g g g g g
teachingsession?
g g
a. The Sheppard-Towner Act of 1921 promoted family-centered care.
g g g g g g g
b. Changes in pharmacologic management of labor prompted family-centered care.
g g g g g g g g
c. Demands by physicians for family involvement in childbirth increased the practice
g g g g g g g g g g
of family-centered care.
g g
d. Parental requests that infants be allowed to remain with them rather than in a
g g g g g g g g g g g g g
nursery initiated the practice of family-centered care.
g g g g g g
ANS: D g
As research began to identify the benefits of early, extended parent–infant contact,
g g g g g g g g g g g
parentsbegan to insist that the infant remain with them. This gradually developed into the
g g g g g g g g g g g g g g g
practiceof rooming-in and finally to family-centered maternity care. The Sheppard-
g g g g g g g g g g g
Towner Act provided funds for state-managed programs for mothers and children but did
g g g g g g g g g g g g
not promote family-centered care. The changes in pharmacologic management of labor
g g g g g g g g g g g
were not a factor in family-centered maternity care. Family-centered care was a request
g g g g g g g g g g g g g
by parents, not physicians.
g g g g
DIF: Cognitive Level: Application OBJ: Nursing Process Step: g g g g g
PlanningMSC: Patient Needs: Health Promotion and Maintenance
g g g g g g g g
2. Expectant parents ask a prenatal nurse educator, ―Which setting for childbirth limits the
g g g g g g g g g g g g
amount of parent–infant interaction?‖ Which answer should the nurse provide for these
g g g g g g g g g g g g
parents in order to assist them in choosing an appropriate birth setting?
g g g g g g g g g g g g
a. Birth center g
b. Home birth g
c. Traditional hospital birth g g
d. Labor, birth, and recovery room g g g g
ANS: C g
In the traditional hospital setting, the mother may see the infant for only short feeding
g g g g g g g g g g g g g g
gperiods, and the infant is cared for in a separate nursery. Birth centers are set up to
g g g g g g g g g g g g g g g g
gallowan increase in parent–infant contact. Home births allow the greatest amount of
g g g g g g g g g g g g
gparent–infant contact. The labor, birth, recovery, and postpartum room setting allows
g g g g g g g g g g
gforincreased parent–infant contact.
g g g
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: g g g g g
PlanningMSC: Patient Needs: Health Promotion and Maintenance
g g g g g g g g
,3. Which statement best describes the advantage of a labor, birth, recovery, and
g g g g g g g g g g g
gpostpartum(LDRP) room? g g
a. The family is in a familiar environment.
g g g g g g
b. They are less expensive than traditional hospital rooms.
g g g g g g g
c. The infant is removed to the nursery to allow the mother to rest.
g g g g g g g g g g g g
d. The woman‘s support system is encouraged to stay until discharge.
g g g g g g g g g
ANS: D g
Sleeping equipment is provided in a private room. A hospital setting is never a familiar
g g g g g g g g g g g g g g
environment to new parents. An LDRP room is not less expensive than a traditional
g g g g g g g g g g g g g g
hospital room. The baby remains with the mother at all times and is not removed to the
g g g g g g g g g g g g g g g g g
nursery for routine care or testing. The father or other designated members of the
g g g g g g g g g g g g g g
mother‘ssupport system are encouraged to stay at all times.
g g g g g g g g g g
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: g g g g g
AssessmentMSC: Patient Needs: Health Promotion and Maintenance
g g g g g g g g
4. Which nursing intervention is an independent function of the professional nurse?
g g g g g g g g g g
a. Administering oral analgesics g g
b. Requesting diagnostic studies g g
c. Teaching the patient perineal care g g g g
d. Providing wound care to a surgical incision g g g g g g
ANS: C g
Nurses are now responsible for various independent functions, including teaching,
g g g g g g g g g
counseling, and intervening in nonmedical problems. Interventions initiated by the
g g g g g g g g g g
physician and carried out by the nurse are called dependent functions. Administrating
g g g g g g g g g g g g
oralanalgesics is a dependent function; it is initiated by a physician and carried out by a
g g g g g g g g g g g g g g g g g
nurse.Requesting diagnostic studies is a dependent function. Providing wound care is a
g g g g g g g g g g g g g
dependent function; however, the physician prescribes the type of wound care through
g g g g g g g g g g g g
direct orders or protocol.
g g g g
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: g g g g g
AssessmentMSC: Patient Needs: Safe and Effective Care Environment
g g g g g g g g g
5. Which response by the nurse is the most therapeutic when the patient states, ―I‘m so afraid
g g g g g g g g g g g g g g g
gto have a cesarean birth‖?
g g g g
a. ―Everything will be OK.‖ g g g
b. ―Don‘t worry about it. It will be over soon.‖
g g g g g g g g
c. ―What concerns you most about a cesarean birth?‖
g g g g g g g
d. ―The physician will be in later and you can talk to him.‖
g g g g g g g g g g g
ANS: C g
The response, ―What concerns you most about a cesarean birth‖ focuses on what the
g g g g g g g g g g g g g
patient is saying and asks for clarification, which is the most therapeutic response. The
g g g g g g g g g g g g g g
response, ―Everything will be ok‖ is belittling the patient‘s feelings. The response, ―Don‘t
g g g g g g g g g g g g g
worry about it. It will be over soon‖ will indicate that the patient‘s feelings are not
g g g g g g g g g g g g g g g g
important. The response, ―The physician will be in later and you can talk to him‖ does not
g g g g g g g g g g g g g g g g g
allow the patient to verbalize her feelings when she wishes to do that.
g g g g g g g g g g g g g
DIF: Cognitive Level: Application g g OBJ: Nursing Process Step: Implementation
g g g g
, MSC: Patient Needs: Psychosocial Integrity
g g g g
6. In which step of the nursing process does the nurse determine the appropriate
g g g g g g g g g g g g
interventionsfor the identified nursing diagnosis?
g g g g g g
a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS: A g
The third step in the nursing process involves planning care for problems that were
g g g g g g g g g g g g g
identified during assessment. The evaluation phase is determining whether the goals have
g g g g g g g g g g g g
been met. During the assessment phase, data are collected. The intervention phase is
g g g g g g g g g g g g g
whenthe plan of care is carried out.
g g g g g g g g
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: g g g g g
PlanningMSC: Patient Needs: Safe and Effective Care Environment
g g g g g g g g g
7. Which goal is most appropriate for the collaborative problem of wound infection?
g g g g g g g g g g g
a. The patient will not exhibit further signs of infection.
g g g g g g g g
b. Maintain the patient‘s fluid intake at 1000 mL/8 hour. g g g g g g g g
c. The patient will have a temperature of 98.F within 2 days.
g g g g g g g g g g
d. Monitor the patient to detect therapeutic response to antibiotic therapy.
g g g g g g g g g
ANS: D g
In a collaborative problem, the goal should be nurse-oriented and reflect the nursing
g g g g g g g g g g g g
ginterventions of monitoring or observing. Monitoring for complications such as
g g g g g g g g g
gfurthersigns of infection is an independent nursing role. Intake and output is an
g g g g g g g g g g g g g
gindependent nursing role. Monitoring a patient‘s temperature is an independent
g g g g g g g g g
gnursing role. g
DIF: Cognitive Level: Application OBJ: Nursing Process Step: g g g g g
PlanningMSC: Patient Needs: Safe and Effective Care Environment
g g g g g g g g g
8. Which nursing intervention is written correctly?
g g g g g
a. Force fluids as necessary. g g g
b. Observe interaction with the infant. g g g g
c. Encourage turning, coughing, and deep breathing. g g g g g
d. Assist to ambulate for 10 minutes at 8 AM, 2 PM, and 6 PM.
g g g g g g g g g g g g g
ANS: D g
Interventions might not be carried out if they are not detailed and specific. ―Force fluids‖
g g g g g g g g g g g g g g
gis not specific; it does not state how much or how often. Encouraging the patient to turn,
g g g g g g g g g g g g g g g g
gcough, and breathe deeply is not detailed or specific. Observing interaction with the
g g g g g g g g g g g g
ginfantdoes not state how often this procedure should be done. Assisting the patient to
g g g g g g g g g g g g g g
gambulate for 10 minutes within a certain timeframe is specific.
g g g g g g g g g
DIF: Cognitive Level: Application OBJ: Nursing Process Step: g g g g g
PlanningMSC: Patient Needs: Safe and Effective Care Environment
g g g g g g g g g
9. The patient makes the statement: ―I‘m afraid to take the baby home tomorrow.‖ Which
g g g g g g g g g g g g g
response by the nurse would be the most therapeutic?
g g g g g g g g g
a. ―You‘re afraid to take the baby home?‖ g g g g g g
